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1407121395
CHAMPION FAMILY MEDICAL & WELLNESS
BAY ST LOUIS, MS
NPI
1407121395
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Entity Type
Organization
Authorized Contact
BRANDON CHAMPION
Owner/Manager
251-610-4041
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2012-03-12
Last Update Date
2012-03-12
Business Address
CHAMPION FAMILY MEDICAL & WELLNESS
303B HIGHWAY 90
BAY ST LOUIS, MS 39520-2832
Phone number: 228-467-4431
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Mailing Address
CHAMPION FAMILY MEDICAL & WELLNESS
303B HIGHWAY 90
BAY ST LOUIS, MS 39520-2832
Phone number: 228-467-4431
Copy
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